Türk yetişkinlerde mandibula açısal parametrelerinden cinsiyet tahmini

Öz

Amaç: Bu çalışmada, mandibula morfometrisinin bir parçası olan açısal parametrelerinin cinsiyet belirlemedeki etkisinin konik ışınlı bilgisayarlı tomografi (KIBT) yardımı ile değerlendirmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırmamıza yaşları 18-68 yaş arasında olan 100 kadın ve 97 erkek olmak üzere toplam 197 sağlıklı yetişkin birey dahil edildi. Mandibulaya ait 10 tane açısal parametre KIBT yardımıyla değerlendirildi. Yaş ve açı ölçümlerinin her biri açısından cinsiyetlerin karşılaştırılmasında independent samples t-testi kullanıldı. Bunun yanı sıra açıların cinsiyet tanısındaki başarıları stepwise linear canonical discriminant analizi ile incelendi. İstatistik anlamlılık düzeyi olarak p<0,05 kabul edildi Bulgular: Mandibula açısal parametrelerinin ölçümlerini ve yaşı cinsiyet grupları arasında karşılaştırdığımızda, sol Go açı (p=0,026), mentomandibular açı (p=0,007), sağ β açı (p=0,002), sağ α açı (p=0,001), sol α açısı (p=0,009) ve yaş (p=0,014) değerinin anlamlı farklılık gösterdiği geriye kalan 5 açının benzer olduğu görüldü (p>0,05). Yaş farklılığının etkisini gidermek için yaş dahil toplam 11 değişken modele alınarak sadece anlamlı düzeyde cinsiyet ayrımı yapabilen değişkenlerin seçilmesi ve stepwise değişken eleme yöntemi ile birlikte diskriminant analizi yapıldı. Değişken elemesi sonucunda, cinsel dimorfik bulunan sağ α açı, sol Go açı, sağ β açı, sol α açı olmak üzere toplam 4 açı içeren diskriminant fonksiyonunun genel doğru sınıflama başarısını % 71,5 olarak bulduk. Sonuçlar: Bu çalışma mandibulanın açısal parametreleri arasında sol Go açının en yüksek olmak üzere sağ α açı, sağ β açı, sol α açılarının cinsel dimorfik özelliğe sahip olduğunu ve bu parametreleri içeren diskriminat fonksiyonu ile % 71,5 doğruluk oranı ile cinsiyet tahmini yapılabileceğini göstermiştir.

Anahtar Kelimeler

• açısal parametreler
• Cinsiyet
• Cranium
• mandibula
• tomografi

Gender estimation from angular parameters of mandible in Turkish adults

Öz

Aim: In this study, it was aimed to evaluate the effect of angular parameters, which are a part of mandibular morphometry, on gender assessment with the help of cone beam computed tomography (CBCT). Material and Methods: A total of 197 healthy adults, 100 females and 97 males, aged between 18-68 years were included in our study. Ten angular parameters of the mandible were evaluated using CBCT. Independent samples t-test was used to compare the gender for each of the age and angle measurements. In addition, the success of the angles in gender diagnosis was examined by a stepwise linear canonical differential analysis. Statistical significance level was accepted as p<0.05. Results: When we compare mandible angular parameters and age measurements between gender groups, left Go angle (p=0.026), mentomandibular angle (p=0.007), right β angle (p=0.002), right α angle (p=0.001), left α angle (p=0.009) and age (p=0.014) values differed significantly, and the remaining 5 angles were similar (p>0.05). In order to eliminate the effect of age difference, a total of 11 variables including age were comprised in the model, and discriminant analysis was performed with the stepwise variable elimination method to select only the variables that could make significant gender discrimination. As a result of variable elimination, we found that the overall correct classification success of the discriminant function, which includes a total of 4 angles, sexually dimorphic right α angle, left Go angle, right β angle, and left α angle, was 71.5%. Conclusion: This study showed that among the angular parameters of the mandible, the left Go angle being the highest, the right α angle, right β angle and left α angles have sexual dimorphic properties, and gender estimation can be made with 71.5% overall accuracy with the discriminant function containing these parameters.

Anahtar Kelimeler

• angular parameters
• cranium
• gender
• mandible
• tomography

Kaynakça

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